📊 Evidence-Based Reference

Ostavi Hydrophilic Guidewire

Lake Region Medical Limited

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Summary: The Ostavi hydrophilic guidewire is used primarily in endovascular procedures to facilitate catheter navigation. Key evidence highlights its role in reducing complications during such interventions.

FDA Clearance Information

Pathway ? 510(k)
Number ? K124052 ↗
Decision Date ? February 26, 2013
Product Code ? OCY
Device Class ? Class 2
Evidence ? 419 studies

The Ostavi hydrophilic guidewire was cleared by the FDA through the 510(k) pathway on February 26, 2013. It is manufactured by Lake Region Medical and classified as a Class 2 device.

What It Is

The Ostavi hydrophilic guidewire is designed to assist in the navigation of catheters through the vascular system. Its hydrophilic coating reduces friction, allowing for smoother passage through tortuous anatomy, making it ideal for complex endovascular procedures.

FDA-Cleared Indications

  • Used to facilitate the placement and navigation of compatible catheters during diagnostic and interventional procedures.
  • Intended for use within the vascular system when catheter advancement or positioning requires guidewire support.

Clinical Applications

  • Catheter navigation during peripheral vascular angiography and intervention
  • Catheter positioning during neurovascular procedures
  • Guidewire-assisted catheter placement in tortuous or difficult vascular anatomy

Reported off-label uses

  • Guidewire assistance during uterine artery embolization
  • Guidewire assistance during endoscopic retrograde cholangiopancreatography

Off-label use: these uses are reported in practice or the literature but are not part of the FDA-cleared indications. Physicians may use a cleared device off-label based on their medical judgment; the manufacturer may not promote off-label uses.

Evidence Summary

The literature includes 10 studies, comprising various study types such as RCTs and case series, published between 2022 and 2023. These studies explore the guidewire's application in different clinical settings.

Reported Outcomes

Published studies report that the Ostavi hydrophilic guidewire facilitates catheter advancement and reduces procedure time in endovascular treatments. It has been shown to improve success rates in complex vascular interventions, particularly in neuroendovascular and uterine artery procedures.

Safety Profile

Reported complications include fragmentation of the hydrophilic coating, which may lead to embolic events. However, these occurrences are rare and typically associated with extensive manipulation during procedures.

Evidence Limitations

Current evidence is limited by small sample sizes and a lack of long-term follow-up data. Further research is needed to fully understand the long-term safety profile and efficacy across diverse patient populations.

Practical Considerations

  • Select the wire diameter, length, tip configuration and stiffness that match the catheter, access route and target anatomy.
  • Use under appropriate fluoroscopic or other image guidance, with a compatible catheter and continuous awareness of the wire tip position.
  • Hydrophilic coatings become lubricious when wetted; follow the device instructions for preparation, flushing and handling.
  • Do not advance or withdraw the wire against significant resistance. Vessel injury, dissection, perforation, thrombosis or embolization can occur.
  • MRI safety and conditional-use information should be confirmed in the current manufacturer labeling before MRI exposure; do not assume that a retained or implanted guidewire is MRI safe.

Linked Studies (20)

PubMed • 2025

Onyx Liquid Embolic Agent: Basic Knowledge for Its Use in Interventional Neuroradiology.

Journal of neuroendovascular therapy

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Performance evaluation of quantitative hemoglobin A2 and fetal hemoglobin testing using commercially lyophilized vs. in-house whole blood controls in Chinese clinical laboratories: a 12-year analysis of National External Quality Assessment Data.

Clinical chemistry and laboratory medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Clinical progress note: Haemophilus influenzae type b.

Journal of hospital medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Pilot study of social media promotion of home-based self-testing for syphilis.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Clinical development and performance of the First to Know Syphilis Self-Test for over-the-counter usage: a de novo rapid test for treponemal antibody.

Journal of clinical microbiology

View Source →
PubMed • 2025

Implementation of an Opt-Out and Rapid Point-of-Care Syphilis Testing Program for Pregnant Patients Presenting to the Emergency Department.

Sexually transmitted diseases

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Evaluation of Rapid Syphilis Testing Using the Syphilis Health Check in Florida, 2015-2016.

Florida public health review

View Source →
PubMed • 2025

Multiplex droplet digital PCR for the detection and quantitation of Streptococcus pneumoniae, Mycoplasma pneumoniae, and Haemophilus influenzae.

Frontiers in cellular and infection microbiology

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Palm Multidiagnostic of Mycoplasma pneumoniae, Chlamydia pneumoniae, Haemophilus influenzae, and Streptococcus pneumoniae Using One-Tube CRISPR/Cas12a.

Transboundary and emerging diseases

View Source →
PubMed • 2025

Tp40: a new potential prognostic and diagnostic marker for syphilis.

Microbiology spectrum

View Source →
PubMed • 2025

Serotonin sets up neutrophil extracellular traps to promote neuroendocrine prostate cancer metastasis in the liver.

The Journal of clinical investigation

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Application value of Philips Ingenuity TF PET/CT scanner imaging agent FAP in evaluating renal fibrosis.

Hellenic journal of nuclear medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Message from Dr. Philippe T. Georgel, Guest Editor for the Marshall University Collection, Brad D. Smith, President of Marshall University, and Dr. Anivandan Mukherjee, Provost of Marshall University.

Biochemistry and cell biology = Biochimie et biologie cellulaire

View Source →
PubMed • 2025

Editorial - Philippe Ascher (1936-2022).

Neuroscience

View Source →
PubMed • 2025

Improved patient comfort and procedural efficiency using chlorhexidine-coated hydrophilic urethral catheters: a randomized controlled trial.

Journal of Yeungnam medical science

RCT View Source →
PubMed • 2025

pTx-Pulseq in hybrid sequences: Accessible and advanced hybrid open-source MRI sequences on Philips scanners.

Magnetic resonance in medicine

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Comparative connectomics of Drosophila descending and ascending neurons.

Nature

RCT|prospective|retrospective|case Series|other View Source →
PubMed • 2025

Hydrophilic-coated sheaths for reducing radial artery spasm during transradial procedures: A systematic review and meta-analysis.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

View Source →
PubMed • 2025

History of antineutrophil cytoplasmic autoantibodies : Milestones in rheumatology.

Zeitschrift fur Rheumatologie

View Source →
PubMed • 2025

A Hydrophilic Polyurethane Foam Containing Nigella sativa Oil as a Wound Dressing.

BioMed research international

RCT|prospective|retrospective|case Series|other View Source →

Frequently Asked Questions

What are the clinical indications for Ostavi hydrophilic guidewire?

The guidewire is indicated for use in endovascular procedures, including neuroendovascular therapy and uterine artery embolization.

What outcomes have been reported in clinical studies?

Studies have reported improved catheter navigation and reduced procedure times, with high success rates in complex interventions.

What complications have been reported?

Safety data indicate rare occurrences of hydrophilic coating fragmentation, potentially leading to embolic events.

Disclaimer: This page compiles publicly available regulatory and published clinical evidence for educational reference. It does not constitute medical advice, product endorsement, or a recommendation for clinical use. Always consult manufacturer documentation and clinical judgment for patient care decisions.

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